Medical Management Department, Hospital "Cà Foncello", Azienda ULSS n.2 "Marca Trevigiana", Regione Veneto, Via Sant' Ambrogio di Fiera, 37 - 31100, Treviso, Italy.
Department of Anesthesia and Intensive Care, Azienda ULSS n.2 "Marca Trevigiana", Regione Veneto, Via Sant' Ambrogio di Fiera, 37 - 31100, Treviso, Italy.
Intensive Crit Care Nurs. 2022 Apr;69:103165. doi: 10.1016/j.iccn.2021.103165. Epub 2021 Dec 9.
To evaluate the long-term effectiveness of an action research intervention aimed at improving hand hygiene in an intensive care unit of a public hospital in Italy.
An observational, prospective before-after study was carried out.Compliance with hand hygiene was estimated by measuring the utilization of hand hygiene products before the intervention and four years after the end of the project. Products used were the following: detergent liquid soap, antiseptic liquid soap and alcohol-based hand gel. Endpoints were quantity consumed (in grams) for each product category. Quantitative consumptions per workshift were compared.
In 2017 the median consumption of antiseptic liquid soap and alcohol-based hand gel per workshift was significantly higher than in 2012 (111.5 g vs 72.5 g, p = 0.014, and 18.0 g vs 5.0 g, p < 0.001). Odds in favour of a higher value in 2017 were 1.99:1 (CI95%: 1.19:1 to 3.73:1) for antiseptic solution, and 5.39:1 (CI95%: 3.09:1 to 13.61:1) for antiseptic gel. Covariates were not associated with consumption of products, and this made it possible to compare the measurements in the two data collections.
Results of this study support the long-term effectiveness of the action research intervention to improve practices of hand hygiene in an intensive care setting.
评估一项旨在改善意大利一家公立医院重症监护病房手卫生的行动研究干预的长期效果。
进行了一项观察性、前瞻性的前后研究。在干预前和项目结束后四年，通过测量手部卫生产品的使用情况来评估手卫生的依从性。使用的产品包括清洁剂液体皂、抗菌液体皂和酒精基手部凝胶。终点是每个产品类别的消耗量（以克为单位）。比较每个班次的定量消耗。
2017 年，每个班次使用抗菌液体皂和酒精基手部凝胶的中位数明显高于 2012 年（111.5 g 比 72.5 g，p = 0.014，18.0 g 比 5.0 g，p < 0.001）。2017 年优势比更高，抗菌液为 1.99:1（95%CI：1.19:1 至 3.73:1），抗菌凝胶为 5.39:1（95%CI：3.09:1 至 13.61:1）。协变量与产品消耗无关，这使得可以比较两次数据采集的测量结果。
本研究结果支持行动研究干预在改善重症监护环境中手卫生实践方面的长期效果。
